Fred J Galluccio, M.D.

NPI #1104934397 in Newport Beach, California

Provider Information

NPI Number
1104934397
Entity Type
Individual
Name
Fred J Galluccio, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Aug 28, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
901 DOVER DR
Address 2
STE 102
ZIP Code
92660-5538
Phone
(949) 646-4865

Specialties & Taxonomy Codes

Specialty
Family Medicine

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